Columbus Community Hospital
Columbus Community Hospital in Columbus, NE publishes cash prices for 290 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Nebraska median for 270 of 289 procedures and below it for 16. By typical cash price it ranks #49 of 53 Nebraska hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
4600 38th St,Columbus,NE,68601 Collected Sep 29, 2026 Source price file (402) 562-7118
Acute care hospital Emergency department CMS star rating 3 of 5 CCN 280111 · CMS hospital register NPI 1760589295
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE | $416.96 | $438.90 | $96.31–$322.29 | 26% above | 5% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ULTRASOUND STUDY OF ARM AND LEG ARTERIES | $675.45 | $711.00 | $147.23–$151.65 | 43% above | 5% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $705.85 | $743.00 | $147.23–$151.65 | 50% above | 5% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 SINGLE CONTRAST X-RAY OF ESOPHAGUS | $926.25 | $975.00 | $194.10–$199.92 | 50% above | 5% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST | $968.05 | $1,019.00 | $194.10–$199.92 | 56% above | 5% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY | $2,648.60 | $2,788.00 | $442.42–$455.69 | 52% above | 5% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NUCLEAR MEDICINE STUDY OF BONE AND/OR JOINT WHOLE BODY | $2,840.50 | $2,990.00 | $442.42–$455.69 | 63% above | 5% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST | $3,604.30 | $3,794.00 | $194.10–$199.92 | 9% above | 5% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT SCAN OF BLOOD VESSELS OF CHEST WITH CONTRAST | $3,923.50 | $4,130.00 | $194.10–$199.92 | 19% above | 5% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT SCAN OF HEART WITH EVALUATION OF BLOOD VESSEL CALCIUM | $142.50 | $150.00 | $96.31–$99.20 | 6% above | 5% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT SCAN OF ABDOMEN AND PELVIS WITHOUT CONTRAST | $3,230.00 | $3,400.00 | $264.06–$2,765.86 | 6% below | 5% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST | $3,375.35 | $3,553.00 | $264.06–$2,765.86 | 2% below | 5% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST | $4,427.95 | $4,661.00 | $386.09–$3,480.14 | 7% above | 5% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST | $4,826.80 | $5,080.84 | $386.09–$3,480.14 | 17% above | 5% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR | $5,371.30 | $5,654.00 | $386.09–$4,071.08 | 8% above | 5% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST | $5,614.50 | $5,910.00 | $386.09–$4,071.08 | 12% above | 5% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST | $3,117.90 | $3,282.00 | $194.10–$199.92 | 20% above | 5% |
| CT scan of the abdomen with contrast CPT 74160 CT SCAN OF ABDOMEN WITH CONTRAST | $3,277.90 | $3,450.42 | $194.10–$199.92 | 26% above | 5% |
| CT scan of the abdomen without contrast CPT 74150 CT SCAN OF ABDOMEN WITHOUT CONTRAST | $2,337.00 | $2,460.00 | $115.69–$119.16 | 5% above | 5% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST | $2,442.45 | $2,571.00 | $115.69–$119.16 | 10% above | 5% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SCAN OF FACE WITHOUT CONTRAST | $2,099.50 | $2,210.00 | $115.69–$119.16 | 15% above | 5% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE | $2,194.50 | $2,310.00 | $115.69–$119.16 | 20% above | 5% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD OR BRAIN WITHOUT CONTRAST | $2,128.00 | $2,240.00 | $115.69–$1,748.53 | 11% above | 5% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE | $2,223.95 | $2,341.00 | $115.69–$1,748.53 | 16% above | 5% |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/DYE | $2,491.85 | $2,623.00 | $194.10–$199.92 | 18% above | 5% |
| CT scan of the head with contrast CPT 70460 CT SCAN HEAD OR BRAIN WITH CONTRAST | $2,622.00 | $2,760.00 | $194.10–$199.92 | 25% above | 5% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE | $2,542.20 | $2,676.00 | $194.10–$2,162.70 | 2% above | 5% |
| CT scan of the head without and with contrast CPT 70470 CT SCAN OF HEAD OR BRAIN BEFORE AND AFTER CONTRAST | $2,669.50 | $2,810.00 | $194.10–$2,162.70 | 7% above | 5% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SCAN OF LOWER SPINE WITHOUT CONTRAST | $2,440.55 | $2,569.00 | $115.69–$119.16 | 9% above | 5% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE | $2,550.75 | $2,685.00 | $115.69–$119.16 | 14% above | 5% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SCAN OF UPPER SPINE WITHOUT CONTRAST | $2,289.50 | $2,410.00 | $115.69–$119.16 | 1% below | 5% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE | $2,393.05 | $2,519.00 | $115.69–$119.16 | 4% above | 5% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE | $2,748.35 | $2,893.00 | $194.10–$199.92 | 11% above | 5% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT SCAN OF PELVIS WITH CONTRAST | $3,104.60 | $3,268.00 | $194.10–$199.92 | 25% above | 5% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY | $1,956.05 | $2,059.00 | $264.06–$271.98 | — | 5% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 ULTRASOUND OF BOTH SIDES OF HEAD AND NECK BLOOD FLOW | $1,871.50 | $1,970.00 | $264.06–$271.98 | 19% above | 5% |
| Chest X-ray, 2 views CPT 71046 X-RAY OF CHEST; 2 VIEWS | $414.20 | $436.00 | $96.31–$268.62 | 44% above | 5% |
| Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $432.92 | $455.70 | $96.31–$268.62 | 50% above | 5% |
| Chest X-ray, single view CPT 71045 X-RAY OF CHEST; 1 VIEW | $344.85 | $363.00 | $96.31–$99.20 | 44% above | 5% |
| Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW | $360.43 | $379.40 | $96.31–$99.20 | 51% above | 5% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | $1,026.00 | $1,080.00 | $115.69–$119.16 | 29% above | 5% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP | $1,072.55 | $1,129.00 | $115.69–$119.16 | 35% above | 5% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY MEASUREMENT OF HIP; PELVIS; SPINE | $779.95 | $821.00 | $115.69–$119.16 | 92% above | 5% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $815.10 | $858.00 | $115.69–$119.16 | 100% above | 5% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 ULTRASOUND SCAN OF PREGNANT UTERUS WITH DETAILED FETAL ANATOMIC EXAMINATION; SINGLE OR FIRST FETUS | $1,111.50 | $1,170.00 | $264.06–$271.98 | 126% above | 5% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SNGL FETUS | $1,161.85 | $1,223.00 | $264.06–$271.98 | 137% above | 5% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN OF CHEST WITHOUT CONTRAST | $2,166.00 | $2,280.00 | $115.69–$119.16 | at median | 5% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C- | $2,263.85 | $2,383.00 | $115.69–$119.16 | 5% above | 5% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX C+ | $2,710.35 | $2,853.00 | $194.10–$2,020.31 | 8% above | 5% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT SCAN OF CHEST WITH CONTRAST | $2,895.29 | $3,047.67 | $194.10–$2,020.31 | 15% above | 5% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $496.85 | $523.00 | $44.28–$45.61 | — | 5% |
| Diagnostic mammogram, both breasts CPT 77066 DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS | $475.00 | $500.00 | $44.28–$45.61 | 3% above | 5% |
| Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI | $436.81 | $459.80 | $35.96–$37.04 | 38% above | 5% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 ULTRASOUND OF LEG ARTERIES OR ARTERY GRAFTS | $1,558.00 | $1,640.00 | $264.06–$271.98 | 45% above | 5% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY | $1,628.30 | $1,714.00 | $264.06–$271.98 | 51% above | 5% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 ULTRASOUND STUDY OF ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS | $1,814.50 | $1,910.00 | $264.06–$271.98 | 25% above | 5% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY | $1,896.20 | $1,996.00 | $264.06–$271.98 | 31% above | 5% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ULTRASOUND OF HEART WITH COLOR-DEPICTED BLOOD FLOW; RATE; DIRECTION AND VALVE FUNCTION | $2,935.50 | $3,090.00 | $604.70–$622.84 | 36% above | 5% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE | $3,068.50 | $3,230.00 | $604.70–$622.84 | 42% above | 5% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING | $2,293.30 | $2,414.00 | $442.42–$455.69 | 50% above | 5% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NUCLEAR MEDICINE STUDY OF LIVER AND BILE DUCT SYSTEM | $2,476.65 | $2,607.00 | $442.42–$455.69 | 62% above | 5% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY INCLUDING HEART RATE; BREATHING; AIRFLOW; AND EFFORT | $855.00 | $900.00 | $238.95–$246.12 | 76% above | 5% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY IN SLEEP LAB WITH CONTINUOUS AIRWAY PRESSURE (6 YEARS OR OLDER) | $5,548.00 | $5,840.00 | $950.34–$978.85 | 42% above | 5% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6/>YRS CPAP 4/> PARM | $5,797.85 | $6,103.00 | $950.34–$978.85 | 48% above | 5% |
| Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3 | $456.67 | $480.70 | $96.31–$350.17 | 21% above | 5% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LIMITED ULTRASOUND SCAN OF ABDOMEN | $899.65 | $947.00 | $115.69–$119.16 | 60% above | 5% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN | $940.50 | $990.00 | $115.69–$119.16 | 67% above | 5% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT SCAN OF CHEST FOR LUNG CANCER SCREENING | $285.00 | $300.00 | $115.69–$119.16 | 54% below | 5% |
| MRI of both breasts, without and then with contrast dye CPT 77049 MRI SCAN OF BOTH BREASTS | $4,247.74 | $4,471.31 | $101.12–$104.15 | 30% above | 5% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $2,611.55 | $2,749.00 | $264.06–$1,983.09 | 1% above | 5% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $3,971.00 | $4,180.00 | $386.09–$397.67 | 18% above | 5% |
| MRI of the abdomen without contrast CPT 74181 MRI SCAN OF ABDOMEN WITHOUT CONTRAST | $3,439.00 | $3,620.00 | $264.06–$271.98 | 14% above | 5% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST | $3,593.85 | $3,783.00 | $264.06–$271.98 | 20% above | 5% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/O CNTR FLWD CNTR | $4,497.30 | $4,734.00 | $386.09–$397.67 | 18% above | 5% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST | $4,612.13 | $4,854.87 | $386.09–$397.67 | 21% above | 5% |
| MRI of the brain, no contrast dye CPT 70551 MRI SCAN OF BRAIN WITHOUT CONTRAST | $3,733.50 | $3,930.00 | $264.06–$271.98 | 14% above | 5% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE | $3,901.65 | $4,107.00 | $264.06–$271.98 | 19% above | 5% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST | $4,493.77 | $4,730.28 | $386.09–$397.67 | 14% above | 5% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE | $4,517.25 | $4,755.00 | $386.09–$397.67 | 15% above | 5% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST | $3,201.50 | $3,370.00 | $264.06–$2,568.29 | at median | 5% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE | $3,345.90 | $3,522.00 | $264.06–$2,568.29 | 5% above | 5% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE | $4,626.50 | $4,870.00 | $386.09–$397.67 | 18% above | 5% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI SCAN OF LOWER SPINAL CANAL BEFORE AND AFTER CONTRAST | $4,751.24 | $5,001.31 | $386.09–$397.67 | 21% above | 5% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SCAN OF MIDDLE SPINAL CANAL WITHOUT CONTRAST | $3,667.00 | $3,860.00 | $264.06–$271.98 | 8% above | 5% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE W/O DYE | $3,832.30 | $4,034.00 | $264.06–$271.98 | 13% above | 5% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O & W/DYE | $4,675.90 | $4,922.00 | $386.09–$397.67 | 17% above | 5% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SCAN OF UPPER SPINAL CANAL BEFORE AND AFTER CONTRAST | $4,795.72 | $5,048.13 | $386.09–$397.67 | 20% above | 5% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SCAN OF UPPER SPINAL CANAL WITHOUT CONTRAST | $3,353.50 | $3,530.00 | $264.06–$271.98 | 1% above | 5% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE | $3,504.55 | $3,689.00 | $264.06–$271.98 | 6% above | 5% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE | $4,458.35 | $4,693.00 | $386.09–$397.67 | 24% above | 5% |
| MRI of the pelvis without and with contrast CPT 72197 MRI SCAN OF PELVIS BEFORE AND AFTER CONTRAST | $4,586.72 | $4,828.13 | $386.09–$397.67 | 27% above | 5% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI SCAN OF PELVIS WITHOUT CONTRAST | $3,353.50 | $3,530.00 | $264.06–$271.98 | 14% above | 5% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE | $3,504.55 | $3,689.00 | $264.06–$271.98 | 19% above | 5% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE | $2,998.20 | $3,156.00 | $264.06–$271.98 | 20% above | 5% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT | $4,706.30 | $4,954.00 | $1,432.74–$3,391.35 | 11% above | 5% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NUCLEAR MEDICINE STUDIES OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT | $5,263.00 | $5,540.00 | $1,432.74–$3,391.35 | 25% above | 5% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 NUCLEAR MEDICINE STUDY FROM SKULL BASE TO MID-THIGH WITH CT SCAN | $8,892.00 | $9,360.00 | $1,582.49–$1,629.96 | 65% above | 5% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT SKULL-THIGH | $9,292.90 | $9,782.00 | $1,582.49–$1,629.96 | 72% above | 5% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 LIMITED ULTRASOUND SCAN OF PELVIS | $613.70 | $646.00 | $115.69–$119.16 | 51% above | 5% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED | $642.20 | $676.00 | $115.69–$119.16 | 58% above | 5% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 COMPLETE ULTRASOUND SCAN OF PELVIS | $1,149.50 | $1,210.00 | $115.69–$119.16 | 46% above | 5% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE | $1,201.75 | $1,265.00 | $115.69–$119.16 | 53% above | 5% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS | $1,121.00 | $1,180.00 | $115.69–$119.16 | 60% above | 5% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS | $1,172.30 | $1,234.00 | $115.69–$119.16 | 67% above | 5% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 ULTRASOUND SCAN OF PREGNANT UTERUS (LESS THAN 14 WEEKS); SINGLE OR FIRST FETUS | $868.30 | $914.00 | $115.69–$119.16 | 41% above | 5% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS | $908.20 | $956.00 | $115.69–$119.16 | 47% above | 5% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 LIMITED ULTRASOUND OF PREGNANT UTERUS | $686.85 | $723.00 | $115.69–$119.16 | 75% above | 5% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S) | $718.20 | $756.00 | $115.69–$119.16 | 83% above | 5% |
| Screening mammogram, both breasts CPT 77067 SCREENING MAMMOGRAPHY | $311.60 | $328.00 | $33.54–$279.48 | 22% above | 5% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER | $520.60 | $548.00 | $96.31–$99.20 | 53% above | 5% |
| Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER) | $3,885.50 | $4,090.00 | $950.34–$978.85 | 5% above | 5% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM | $4,061.25 | $4,275.00 | $950.34–$978.85 | 10% above | 5% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE | $2,472.85 | $2,603.00 | $604.70–$622.84 | 40% above | 5% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 IMAGING FOR EVALUATION OF SWALLOWING FUNCTION | $806.55 | $849.00 | $194.10–$199.92 | 42% above | 5% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 X-RAY XM SWLNG FUNCJ C+ | $843.60 | $888.00 | $194.10–$199.92 | 48% above | 5% |
| Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA | $959.50 | $1,010.00 | $115.69–$119.16 | 51% above | 5% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB | $1,003.20 | $1,056.00 | $115.69–$119.16 | 58% above | 5% |
| Transvaginal ultrasound during pregnancy CPT 76817 VAGINAL ULTRASOUND OF PREGNANT UTERUS | $850.25 | $895.00 | $115.69–$119.16 | 67% above | 5% |
| Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC | $889.20 | $936.00 | $115.69–$119.16 | 75% above | 5% |
| Ultrasound of the abdomen, complete CPT 76700 COMPLETE ULTRASOUND SCAN OF ABDOMEN | $969.00 | $1,020.00 | $115.69–$864.47 | 16% above | 5% |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE | $1,012.70 | $1,066.00 | $115.69–$864.47 | 21% above | 5% |
| Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND SCAN OF SCROTUM | $1,035.50 | $1,090.00 | $115.69–$119.16 | 59% above | 5% |
| Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM | $1,083.00 | $1,140.00 | $115.69–$119.16 | 66% above | 5% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND SCAN OF HEAD AND NECK SOFT TISSUE | $836.00 | $880.00 | $115.69–$119.16 | 40% above | 5% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK | $874.00 | $920.00 | $115.69–$119.16 | 46% above | 5% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 SINGLE CONTRAST X-RAY OF UPPER DIGESTIVE TRACT | $933.85 | $983.00 | $194.10–$199.92 | 89% above | 5% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST | $976.60 | $1,028.00 | $194.10–$199.92 | 97% above | 5% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS | $1,311.00 | $1,380.00 | $115.69–$119.16 | 27% above | 5% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY | $1,370.85 | $1,443.00 | $115.69–$119.16 | 32% above | 5% |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST | $440.80 | $464.00 | $96.31–$99.20 | 33% above | 5% |
| X-ray of the abdomen, 1 view CPT 74018 RADEX ABDOMEN 1 VIEW | $436.81 | $459.80 | $96.31–$99.20 | 59% above | 5% |
| X-ray of the abdomen, 1 view CPT 74018 X-RAY OF ABDOMEN; 1 VIEW | $499.32 | $525.60 | $96.31–$99.20 | 82% above | 5% |
| X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM OF ANKLE | $363.38 | $382.50 | $96.31–$99.20 | 41% above | 5% |
| X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S) | $351.50 | $370.00 | $96.31–$99.20 | 53% above | 5% |
| X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT | $367.37 | $386.70 | $96.31–$99.20 | 68% above | 5% |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT | $436.81 | $459.80 | $96.31–$335.24 | 34% above | 5% |
| X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND | $440.80 | $464.00 | $96.31–$99.20 | 29% above | 5% |
| X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 | $478.52 | $503.70 | $96.31–$99.20 | 49% above | 5% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY OF LOWER AND SACRAL SPINE; 2-3 VIEWS | $598.50 | $630.00 | $115.69–$119.16 | 42% above | 5% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS | $626.05 | $659.00 | $115.69–$119.16 | 48% above | 5% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS | $648.85 | $683.00 | $115.69–$119.16 | 33% above | 5% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS | $678.30 | $714.00 | $115.69–$119.16 | 39% above | 5% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY OF MIDDLE SPINE; 2 VIEWS | $530.10 | $558.00 | $115.69–$119.16 | 73% above | 5% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS | $554.80 | $584.00 | $115.69–$119.16 | 81% above | 5% |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY OF NOSE BONES; MINIMUM OF 3 VIEWS | $475.95 | $501.00 | $96.31–$99.20 | 63% above | 5% |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM OF NASAL BONES | $497.80 | $524.00 | $96.31–$99.20 | 71% above | 5% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY OF UPPER SPINE; 2-3 VIEWS | $476.90 | $502.00 | $96.31–$99.20 | 50% above | 5% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW | $498.75 | $525.00 | $96.31–$99.20 | 56% above | 5% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY OF PELVIS; 1-2 VIEWS | $408.50 | $430.00 | $115.69–$119.16 | 45% above | 5% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS | $426.93 | $449.40 | $115.69–$119.16 | 51% above | 5% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY OF SACRUM AND TAILBONE; MINIMUM OF 2 VIEWS | $465.50 | $490.00 | $96.31–$99.20 | 65% above | 5% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY EXAM SACRUM TAILBONE | $486.50 | $512.10 | $96.31–$99.20 | 72% above | 5% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER ENZYME (SGPT); LEVEL | $73.44 | $77.30 | $5.30–$5.46 | 21% above | 5% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT) | $76.74 | $80.78 | $5.30–$5.46 | 26% above | 5% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 LIVER ENZYME (SGOT); LEVEL | $72.20 | $76.00 | $5.18–$5.34 | 27% above | 5% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT) | $75.45 | $79.42 | $5.18–$5.34 | 32% above | 5% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $437.95 | $461.00 | $47.63–$49.06 | 37% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $12.11 | $12.75 | $5.22–$5.38 | 76% below | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; CRUDE ALLERGEN EXTRACT; EACH | $1,254.19 | $1,320.20 | $5.22–$5.38 | 2396% above | 5% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 MEASUREMENT OF ANTIBODY FOR RHEUMATOID ARTHRITIS ASSESSMENT | $228.95 | $241.00 | $12.95–$13.34 | 102% above | 5% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $239.31 | $251.90 | $12.95–$13.34 | 111% above | 5% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 SCREENING TEST FOR AUTOIMMUNE DISORDER | $106.40 | $112.00 | $12.09–$12.45 | 30% above | 5% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $111.25 | $117.10 | $12.09–$12.45 | 36% above | 5% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL | $371.45 | $391.00 | $39.26–$40.44 | 67% above | 5% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE | $388.17 | $408.60 | $39.26–$40.44 | 75% above | 5% |
| Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $171.00 | $180.00 | $8.46–$147.46 | 20% above | 5% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST | $390.17 | $410.70 | $57.67–$59.40 | 97% above | 5% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY | $1,493.40 | $1,572.00 | $57.67–$59.40 | 655% above | 5% |
| Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE | $308.75 | $325.00 | $10.32–$10.63 | 71% above | 5% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA | $322.72 | $339.70 | $10.32–$10.63 | 79% above | 5% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE | $39.71 | $41.80 | $9.34–$34.31 | 43% above | 5% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE | $76.00 | $80.00 | $9.34–$34.31 | 174% above | 5% |
| Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE (SUGAR) LEVEL | $68.12 | $71.70 | $3.93–$4.05 | 30% above | 5% |
| Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $71.18 | $74.93 | $3.93–$4.05 | 36% above | 5% |
| Blood lead test CPT 83655 ASSAY OF LEAD | $35.74 | $37.62 | $12.11–$12.47 | 45% below | 5% |
| Blood lead test CPT 83655 LEAD LEVEL | $110.20 | $116.00 | $12.11–$12.47 | 70% above | 5% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS | $183.35 | $193.00 | $7.52–$7.75 | 50% above | 5% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY | $191.62 | $201.70 | $7.52–$7.75 | 57% above | 5% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO) | $79.23 | $83.40 | $147.23–$151.65 | 35% above | 5% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO | $82.80 | $87.16 | $147.23–$151.65 | 41% above | 5% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION | $152.00 | $160.00 | $5.18–$5.34 | 48% above | 5% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $158.84 | $167.20 | $5.18–$5.34 | 55% above | 5% |
| C. difficile toxin gene test (stool PCR) CPT 87493 DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE | $267.90 | $282.00 | $37.27–$38.39 | 56% above | 5% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $279.97 | $294.70 | $37.27–$38.39 | 63% above | 5% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9 | $247.95 | $261.00 | $20.81–$21.43 | 37% above | 5% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9 | $259.16 | $272.80 | $20.81–$21.43 | 43% above | 5% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 125 | $247.95 | $261.00 | $20.81–$21.43 | 69% above | 5% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125 | $259.16 | $272.80 | $20.81–$21.43 | 77% above | 5% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 AMPLIFED DNA OR RNA PROBE DETECTION OF SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (COVID-19) ANTIGEN | $151.05 | $159.00 | $51.31–$67.99 | 15% above | 5% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $157.89 | $166.20 | $51.31–$67.99 | 20% above | 5% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE | $179.74 | $189.20 | $35.09–$36.14 | 54% above | 5% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE | $188.10 | $198.00 | $35.09–$36.14 | 61% above | 5% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $122.55 | $129.00 | $13.39–$117.41 | 1% above | 5% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $128.16 | $134.90 | $13.39–$117.41 | 6% above | 5% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $114.00 | $120.00 | $7.77–$102.20 | 24% above | 5% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $96.90 | $102.00 | $6.47–$6.66 | 32% above | 5% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $101.27 | $106.60 | $6.47–$6.66 | 38% above | 5% |
| Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $190.00 | $200.00 | $10.56–$168.21 | 15% above | 5% |
| D-dimer blood test (blood clot marker) CPT 85379 COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE | $209.00 | $220.00 | $10.18–$10.49 | 38% above | 5% |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT | $218.41 | $229.90 | $10.18–$10.49 | 44% above | 5% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE (DHEA-S) HORMONE LEVEL | $247.00 | $260.00 | $22.23–$22.90 | 74% above | 5% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE | $258.12 | $271.70 | $22.23–$22.90 | 82% above | 5% |
| Estradiol blood test CPT 82670 MEASUREMENT OF TOTAL ESTRADIOL (HORMONE) | $191.90 | $202.00 | $27.94–$28.78 | 40% above | 5% |
| Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL | $200.55 | $211.10 | $27.94–$28.78 | 46% above | 5% |
| FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL | $171.00 | $180.00 | $18.58–$19.14 | 50% above | 5% |
| FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH) | $178.70 | $188.10 | $18.58–$19.14 | 57% above | 5% |
| Fecal calprotectin (stool inflammation test) CPT 83993 STOOL CALPROTECTIN (PROTEIN) LEVEL | $608.95 | $641.00 | $19.63–$20.22 | 57% above | 5% |
| Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL | $636.50 | $670.00 | $19.63–$20.22 | 64% above | 5% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL | $171.00 | $180.00 | $13.63–$14.04 | 59% above | 5% |
| Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN | $418.48 | $440.50 | $13.63–$14.04 | 289% above | 5% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL; SERUM | $206.15 | $217.00 | $14.70–$15.14 | 91% above | 5% |
| Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM | $215.46 | $226.80 | $14.70–$15.14 | 100% above | 5% |
| Free T3 thyroid hormone test CPT 84481 THYROID HORMONE; T3 MEASUREMENT; FREE | $247.95 | $261.00 | $16.94–$17.45 | 52% above | 5% |
| Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3) | $259.16 | $272.80 | $16.94–$17.45 | 59% above | 5% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE | $147.25 | $155.00 | $9.02–$9.29 | 64% above | 5% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE | $153.90 | $162.00 | $9.02–$9.29 | 71% above | 5% |
| Free testosterone test CPT 84402 TESTOSTERONE (HORMONE) LEVEL; FREE | $223.25 | $235.00 | $25.47–$26.23 | 76% above | 5% |
| Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE | $233.32 | $245.60 | $25.47–$26.23 | 84% above | 5% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $334.40 | $352.00 | — | 11% above | 5% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 BLOOD GLUCOSE (SUGAR) LEVEL AFTER RECEIVING DOSE OF GLUCOSE | $78.19 | $82.30 | $4.75–$4.89 | 41% above | 5% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST | $81.71 | $86.01 | $4.75–$4.89 | 47% above | 5% |
| Glucose tolerance test, 3 samples CPT 82951 BLOOD GLUCOSE (SUGAR) TOLERANCE TEST; 3 SPECIMENS | $250.80 | $264.00 | $12.87–$13.26 | 83% above | 5% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT) | $262.11 | $275.90 | $12.87–$13.26 | 91% above | 5% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 DETECTION TEST BY NUCLEIC ACID FOR NEISSERIA GONORRHOEAE (GONORRHOEAE BACTERIA); AMPLIFIED PROBE TECHNIQUE | $170.05 | $179.00 | $35.09–$36.14 | 44% above | 5% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB | $177.75 | $187.10 | $35.09–$36.14 | 51% above | 5% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY | $200.55 | $211.10 | $16.85–$17.36 | 145% above | 5% |
| H. pylori stool antigen test CPT 87338 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI (GI TRACT BACTERIA) IN STOOL | $326.80 | $344.00 | $14.38–$14.81 | 101% above | 5% |
| H. pylori stool antigen test CPT 87338 HPYLORI STOOL AG IA | $341.53 | $359.50 | $14.38–$14.81 | 110% above | 5% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 DETECTION TEST BY NUCLEIC ACID FOR HIV-1 VIRUS; QUANTIFICATION | $1,159.00 | $1,220.00 | $85.10–$87.65 | 127% above | 5% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ | $1,211.25 | $1,275.00 | $85.10–$87.65 | 138% above | 5% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES | $111.15 | $117.00 | $24.08–$24.80 | 35% above | 5% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1&-2 AB AG IA | $116.19 | $122.30 | $24.08–$24.80 | 41% above | 5% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL | $106.40 | $112.00 | $9.71–$10.00 | 31% above | 5% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C | $111.25 | $117.10 | $9.71–$10.00 | 37% above | 5% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY MEASUREMENT | $171.95 | $181.00 | $10.74–$11.06 | 88% above | 5% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY | $179.74 | $189.20 | $10.74–$11.06 | 97% above | 5% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN | $169.10 | $178.00 | $10.33–$10.64 | 80% above | 5% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY MEASUREMENT | $166.25 | $175.00 | $14.27–$14.70 | 82% above | 5% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS; QUANTIFICATION | $718.20 | $756.00 | $42.84–$44.13 | 113% above | 5% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $751.45 | $791.00 | $42.84–$44.13 | 123% above | 5% |
| Herpes blood test, HSV-1 antibody CPT 86695 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 1 | $86.74 | $91.30 | $13.19–$13.59 | 13% below | 5% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST | $90.64 | $95.41 | $13.19–$13.59 | 9% below | 5% |
| Herpes blood test, HSV-2 antibody CPT 86696 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 2 | $206.15 | $217.00 | $19.35–$19.93 | 93% above | 5% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST | $215.46 | $226.80 | $19.35–$19.93 | 101% above | 5% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION; HIGH SENSITIVITY | $114.00 | $120.00 | $12.95–$13.34 | 19% above | 5% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $119.13 | $125.40 | $12.95–$13.34 | 25% above | 5% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE (AMINO ACID) LEVEL | $366.70 | $386.00 | $17.92–$18.46 | 128% above | 5% |
| Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE | $383.23 | $403.40 | $17.92–$18.46 | 138% above | 5% |
| Insulin blood test CPT 83525 ASSAY OF INSULIN | $83.89 | $88.31 | $11.43–$11.77 | 23% below | 5% |
| Insulin blood test CPT 83525 INSULIN MEASUREMENT; TOTAL | $211.85 | $223.00 | $11.43–$11.77 | 94% above | 5% |
| Iron blood test (serum iron) CPT 83540 IRON LEVEL | $86.45 | $91.00 | $6.47–$6.66 | 37% above | 5% |
| Iron blood test (serum iron) CPT 83540 ASSAY OF IRON | $90.35 | $95.10 | $6.47–$6.66 | 43% above | 5% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $103.55 | $109.00 | $8.74–$9.00 | 32% above | 5% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST | $108.30 | $114.00 | $8.74–$9.00 | 38% above | 5% |
| Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL | $173.85 | $183.00 | $8.68–$8.94 | 17% above | 5% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $181.74 | $191.30 | $8.68–$8.94 | 22% above | 5% |
| LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL | $142.50 | $150.00 | $18.52–$19.08 | 15% above | 5% |
| LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH) | $148.96 | $156.80 | $18.52–$19.08 | 20% above | 5% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL | $165.30 | $174.00 | $6.89–$7.10 | 65% above | 5% |
| Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE | $172.81 | $181.90 | $6.89–$7.10 | 73% above | 5% |
| Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL | $205.20 | $216.00 | $8.17–$8.42 | 54% above | 5% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $214.51 | $225.80 | $8.17–$8.42 | 61% above | 5% |
| Lyme disease antibody test CPT 86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) | $173.85 | $183.00 | $17.03–$17.54 | 28% above | 5% |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY | $181.74 | $191.30 | $17.03–$17.54 | 34% above | 5% |
| Magnesium blood test CPT 83735 MAGNESIUM LEVEL | $129.20 | $136.00 | $6.70–$6.90 | 78% above | 5% |
| Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM | $135.09 | $142.20 | $6.70–$6.90 | 86% above | 5% |
| Measles (rubeola) antibody test CPT 86765 ANALYSIS FOR ANTIBODY TO RUBEOLA (MEASLES VIRUS) | $136.80 | $144.00 | $12.88–$13.27 | 52% above | 5% |
| Mono test (heterophile antibody, Monospot) CPT 86308 SCREENING TEST FOR MONONUCLEOSIS (MONO) | $132.05 | $139.00 | $5.18–$5.34 | 103% above | 5% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN | $138.04 | $145.30 | $5.18–$5.34 | 112% above | 5% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $259.16 | $272.80 | $47.81–$49.24 | 13% above | 5% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; FREE | $159.60 | $168.00 | $18.39–$18.94 | 17% above | 5% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE | $166.82 | $175.60 | $18.39–$18.94 | 22% above | 5% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL | $157.70 | $166.00 | $18.39–$18.94 | 45% above | 5% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $164.83 | $173.50 | $18.39–$18.94 | 52% above | 5% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL | $49.12 | $51.70 | $41.28–$42.52 | 77% below | 5% |
| Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE | $133.10 | $140.10 | $41.28–$42.52 | 37% below | 5% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $130.15 | $137.00 | $6.01–$6.19 | 65% above | 5% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $136.04 | $143.20 | $6.01–$6.19 | 72% above | 5% |
| Progesterone blood test CPT 84144 PROGESTERONE (REPRODUCTIVE HORMONE) LEVEL | $119.70 | $126.00 | $20.86–$21.49 | 4% above | 5% |
| Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE | $125.12 | $131.70 | $20.86–$21.49 | 8% above | 5% |
| Prolactin blood test CPT 84146 PROLACTIN (MILK PRODUCING HORMONE) LEVEL | $195.70 | $206.00 | $19.38–$19.96 | 57% above | 5% |
| Prolactin blood test CPT 84146 ASSAY OF PROLACTIN | $204.54 | $215.30 | $19.38–$19.96 | 64% above | 5% |
| Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME | $47.50 | $50.00 | $4.29–$38.81 | 7% below | 5% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $49.64 | $52.25 | $4.29–$38.81 | 3% below | 5% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $30.29 | $31.88 | $5.67–$5.84 | 44% below | 5% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVEL | $107.35 | $113.00 | $5.67–$5.84 | 97% above | 5% |
| Rubella antibody test (immunity check) CPT 86762 ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS) | $130.15 | $137.00 | $14.39–$14.82 | 69% above | 5% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $136.04 | $143.20 | $14.39–$14.82 | 77% above | 5% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; AUTOMATED | $74.39 | $78.30 | $2.70–$2.78 | 38% above | 5% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED | $77.74 | $81.83 | $2.70–$2.78 | 45% above | 5% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN EVALUATION VOLUME; SPERM COUNT; MOTILITY AND ANALYSIS | $221.35 | $233.00 | $12.31–$12.68 | 10% below | 5% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANAL VOL/COUNT/MOT | $231.33 | $243.50 | $12.31–$12.68 | 6% below | 5% |
| Stool ova and parasites exam CPT 87177 SMEAR FOR PARASITES | $131.10 | $138.00 | $8.90–$9.17 | 55% above | 5% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS | $137.09 | $144.30 | $8.90–$9.17 | 62% above | 5% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 STOOL ANALYSIS FOR BLOOD TO SCREEN FOR COLON TUMORS | $59.47 | $62.60 | $4.38–$4.51 | 115% above | 5% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES | $62.15 | $65.42 | $4.38–$4.51 | 124% above | 5% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL | $306.85 | $323.00 | $15.92–$16.40 | 631% above | 5% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS DETECTION TEST | $71.35 | $75.10 | $4.27–$4.40 | 62% above | 5% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $74.56 | $78.48 | $4.27–$4.40 | 69% above | 5% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST; GAMMA INTERFERON | $373.35 | $393.00 | $61.98–$63.84 | 82% above | 5% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE | $390.17 | $410.70 | $61.98–$63.84 | 90% above | 5% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (HORMONE) LEVEL; TOTAL | $178.60 | $188.00 | $25.81–$26.58 | 51% above | 5% |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE | $186.68 | $196.50 | $25.81–$26.58 | 58% above | 5% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT | $161.50 | $170.00 | $14.55–$14.99 | 62% above | 5% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH | $168.82 | $177.70 | $14.55–$14.99 | 69% above | 5% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $114.00 | $120.00 | $16.80–$105.47 | 1% above | 5% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $95.01 | $100.01 | $35.09–$36.14 | 1% above | 5% |
| Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD | $73.25 | $77.10 | $4.52–$4.66 | 38% above | 5% |
| Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID | $76.54 | $80.57 | $4.52–$4.66 | 45% above | 5% |
| Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $50.35 | $53.00 | $3.17–$41.01 | 13% below | 5% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $52.62 | $55.39 | $3.17–$41.01 | 9% below | 5% |
| Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST | $68.59 | $72.20 | $2.25–$2.32 | 102% above | 5% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $71.68 | $75.45 | $2.25–$2.32 | 111% above | 5% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $45.57 | $47.97 | $3.48–$3.58 | 113% above | 5% |
| Urine culture for bacteria, with colony count CPT 87086 BACTERIAL COLONY COUNT; URINE | $133.95 | $141.00 | $8.07–$8.31 | 87% above | 5% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT | $140.03 | $147.40 | $8.07–$8.31 | 95% above | 5% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $114.95 | $121.00 | $8.61–$8.87 | 78% above | 5% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL | $179.55 | $189.00 | $15.08–$15.53 | 55% above | 5% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $187.72 | $197.60 | $15.08–$15.53 | 62% above | 5% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL | $212.80 | $224.00 | $29.60–$30.49 | 37% above | 5% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $222.40 | $234.10 | $29.60–$30.49 | 43% above | 5% |
| Zinc blood test CPT 84630 ZINC LEVEL | $136.80 | $144.00 | $11.39–$11.73 | 89% above | 5% |
| Zinc blood test CPT 84630 ASSAY OF ZINC | $142.98 | $150.50 | $11.39–$11.73 | 97% above | 5% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL | $184.30 | $194.00 | $15.05–$15.50 | 63% above | 5% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST | $192.66 | $202.80 | $15.05–$15.50 | 71% above | 5% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 PRIMARY REMOVAL OF ADENOIDS (YOUNGER THAN 12 YEARS) | $6,908.38 | $7,271.98 | $3,669.12–$3,779.19 | 1379% above | 5% |
| Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO | $43,691.45 | $45,991.00 | $3,587.74–$3,695.37 | 241% above | 5% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 INSERTION OF TUBE IN LEFT LOWER HEART CHAMBER AND CORONARY ARTERY FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST | $42,030.47 | $44,242.60 | $3,587.74–$3,695.37 | 228% above | 5% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 EXTERNAL SHOCK TO HEART TO REGULATE HEART BEAT | $2,299.00 | $2,420.00 | $731.45–$753.39 | 61% above | 5% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $2,402.55 | $2,529.00 | $731.45–$753.39 | 68% above | 5% |
| Cataract surgery with lens implant CPT 66984 REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS | $2,574.50 | $2,710.00 | $2,553.99–$2,630.61 | 30% below | 5% |
| Cataract surgery with lens implant CPT 66984 XCAPSL CTRC RMVL W/O ECP | $2,688.50 | $2,830.00 | $2,553.99–$2,630.61 | 27% below | 5% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 REMOVAL OF FORESKIN (OLDER THAN 28 DAYS) | $9,040.73 | $9,516.56 | $2,313.37–$2,382.77 | 555% above | 5% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK | $992.75 | $1,045.00 | $2,313.37–$2,382.77 | 91% above | 5% |
| Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $6,909.34 | $7,272.99 | $1,324.29–$1,364.02 | 276% above | 5% |
| Complex cataract surgery with lens implant CPT 66982 XCAPSL CTRC RMVL CPLX WO ECP | $2,688.50 | $2,830.00 | $2,553.99–$2,630.61 | 2% above | 5% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $1,429.75 | $1,505.00 | $771.68–$794.83 | 161% above | 5% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 DIAGNOSTIC EXAM OF BLADDER AND URETHRA USING AN ENDOSCOPE | $1,814.50 | $1,910.00 | $771.68–$794.83 | 232% above | 5% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND SCRAPING OF UTERUS | $10,693.20 | $11,256.00 | $3,582.43–$3,689.90 | 1517% above | 5% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA | $6,157.90 | $6,482.00 | $1,717.09–$1,768.60 | 950% above | 5% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL OF IMPACTED EAR WAX BY WASHING | $122.55 | $129.00 | $65.29–$67.25 | 163% above | 5% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $128.16 | $134.90 | $65.29–$67.25 | 175% above | 5% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI | $128.16 | $134.90 | $65.29–$67.25 | 44% above | 5% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING | $418.00 | $440.00 | $223.74–$230.45 | 97% above | 5% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE | $1,496.25 | $1,575.00 | $781.17–$804.61 | 36% above | 5% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); 3 CM TO 10 CM; REDUCIBLE | $21,737.90 | $22,882.00 | $7,164.39–$7,379.32 | 367% above | 5% |
| Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE | $11,443.70 | $12,046.00 | $6,690.41–$6,891.12 | 246% above | 5% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 REMOVAL OF GALLBLADDER WITH X-RAY STUDY OF BILE DUCTS USING AN ENDOSCOPE | $12,196.10 | $12,838.00 | $6,690.41–$6,891.12 | 659% above | 5% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S) | $1,916.15 | $2,017.00 | $1,029.16–$1,060.03 | 212% above | 5% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVAL OF SINGLE EXTERNAL AND INTERNAL HEMORRHOID GROUP | $10,693.20 | $11,256.00 | $3,071.74–$3,163.89 | 706% above | 5% |
| Hysterectomy through an abdominal incision (total) CPT 58150 REMOVAL OF UTERUS AND CERVIX THROUGH ABDOMEN | $20,007.00 | $21,060.00 | $842.70–$867.98 | 841% above | 5% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY | $1,817.35 | $1,913.00 | $47.76–$49.19 | 344% above | 5% |
| Hysteroscopy with endometrial ablation CPT 58563 EXAM OF UTERUS WITH DESTRUCTION OF LINING OF UTERUS USING AN ENDOSCOPE | $12,114.02 | $12,751.60 | $5,536.07–$5,702.15 | 321% above | 5% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE | $9,940.80 | $10,464.00 | $3,582.43–$3,689.90 | 508% above | 5% |
| Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS | $401.85 | $423.00 | $222.04–$228.70 | 39% above | 5% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $420.00 | $442.10 | $222.04–$228.70 | 45% above | 5% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) | $12,196.10 | $12,838.00 | $3,962.32–$4,081.19 | 417% above | 5% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $593.75 | $625.00 | $339.70–$349.89 | 211% above | 5% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $621.30 | $654.00 | $339.70–$349.89 | 225% above | 5% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US | $621.30 | $654.00 | $339.70–$349.89 | 237% above | 5% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT | $593.75 | $625.00 | $339.70–$349.89 | 319% above | 5% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US | $621.30 | $654.00 | $339.70–$349.89 | 339% above | 5% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE | $20,140.85 | $21,200.89 | $3,621.02–$3,729.65 | 821% above | 5% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 REMOVAL OF APPENDIX USING AN ENDOSCOPE | $23,558.67 | $24,798.60 | $6,690.41–$6,891.12 | 999% above | 5% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 STRENGTHENING OF MUSCLE BETWEEN ESOPHAGUS AND STOMACH BY WRAPPING PART OF STOMACH AROUND ESOPHAGUS USING AN ENDOSCOPE | $25,376.88 | $26,712.50 | $11,763.72–$12,116.63 | 983% above | 5% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 REMOVAL OF UTERUS THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS | $15,679.75 | $16,505.00 | $11,763.72–$12,116.63 | 332% above | 5% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS | $13,700.90 | $14,422.00 | $11,763.72–$12,116.63 | 357% above | 5% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE | $17,410.65 | $18,327.00 | $6,690.41–$6,891.12 | 1208% above | 5% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 REPAIR OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE | $16,544.24 | $17,414.99 | $6,690.41–$6,891.12 | 926% above | 5% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE | $12,948.50 | $13,630.00 | $6,690.41–$6,891.12 | 551% above | 5% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 AFTER CATARACT LASER SURGERY | $855.00 | $900.00 | $608.67–$626.93 | at median | 5% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS | $798.95 | $841.00 | $449.88–$463.38 | 90% above | 5% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/< | $835.05 | $879.00 | $449.88–$463.38 | 99% above | 5% |
| Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY | $30,616.60 | $32,228.00 | $3,587.74–$3,695.37 | 386% above | 5% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE | $1,890.50 | $1,990.00 | $781.17–$804.61 | 65% above | 5% |
| Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE | $6,542.65 | $6,887.00 | $3,582.43–$3,689.90 | 498% above | 5% |
| Miscarriage treatment with D&C, first trimester CPT 59820 TREATMENT OF MISCARRIAGE DURING FIRST TRIMESTER | $9,940.80 | $10,464.00 | $3,582.43–$3,689.90 | 808% above | 5% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/< | $646.00 | $680.00 | $783.67–$807.18 | 89% above | 5% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $420.00 | $442.10 | $222.04–$228.70 | 76% above | 5% |
| Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT | $34,419.45 | $36,231.00 | $11,566.91–$11,913.92 | 209% above | 5% |
| Paracentesis with imaging guidance CPT 49083 DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE | $1,814.50 | $1,910.00 | $1,003.74–$1,033.85 | 114% above | 5% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $1,896.20 | $1,996.00 | $1,003.74–$1,033.85 | 123% above | 5% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 PERMANENT REMOVAL FINGERNAIL OR TOENAIL | $6,910.30 | $7,274.00 | $449.88–$463.38 | 1962% above | 5% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE GLAND | $9,188.40 | $9,672.00 | — | 607% above | 5% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 SURGICAL REMOVAL OF PROSTATE AND SURROUNDING LYMPH NODES USING AN ENDOSCOPE | $32,252.64 | $33,950.15 | $11,763.72–$12,116.63 | 593% above | 5% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE | $798.95 | $841.00 | $449.88–$463.38 | 133% above | 5% |
| Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL | $835.05 | $879.00 | $449.88–$463.38 | 143% above | 5% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $1,890.50 | $1,990.00 | $1,029.16–$1,060.03 | 128% above | 5% |
| Septoplasty to straighten the nasal septum CPT 30520 RESHAPING OF NASAL CARTILAGE | $10,692.24 | $11,254.99 | $3,669.12–$3,779.19 | 320% above | 5% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS | $401.85 | $423.00 | $222.04–$228.70 | 93% above | 5% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/< | $420.00 | $442.10 | $222.04–$228.70 | 102% above | 5% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY; FIRST SKIN GROWTH | $816.05 | $859.00 | $449.88–$463.38 | 221% above | 5% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $853.10 | $898.00 | $449.88–$463.38 | 235% above | 5% |
| Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15 | $420.00 | $442.10 | $222.04–$228.70 | 116% above | 5% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP FOR DIAGNOSTIC TEST | $1,387.00 | $1,460.00 | $781.17–$804.61 | 253% above | 5% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR | $1,449.70 | $1,526.00 | $781.17–$804.61 | 269% above | 5% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM | $401.85 | $423.00 | $222.04–$228.70 | 64% above | 5% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM | $420.00 | $442.10 | $222.04–$228.70 | 71% above | 5% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS | $401.85 | $423.00 | $222.04–$228.70 | 75% above | 5% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/< | $420.00 | $442.10 | $222.04–$228.70 | 83% above | 5% |
| TURP (transurethral resection of the prostate) CPT 52601 REMOVAL OF PROSTATE GLAND USING AN ELECTROCAUTERY KNIFE THROUGH URETHRA WITH CONTROL OF BLEEDING USING AN ENDOSCOPE | $12,196.10 | $12,838.00 | $5,933.74–$6,111.75 | 256% above | 5% |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE | $1,900.00 | $2,000.00 | $694.21–$715.04 | 121% above | 5% |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING | $1,985.50 | $2,090.00 | $694.21–$715.04 | 131% above | 5% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVAL OF TONSILS AND ADENOID GLANDS (12 YEARS OR OLDER) | $9,939.84 | $10,462.99 | $3,669.12–$3,779.19 | 1455% above | 5% |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS) | $7,660.78 | $8,063.98 | $6,551.30–$6,747.84 | 91% above | 5% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS (12 YEARS OR OLDER) | $6,910.30 | $7,274.00 | $3,669.12–$3,779.19 | 334% above | 5% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS (YOUNGER THAN 12 YEARS) | $9,940.80 | $10,464.00 | $6,551.30–$6,747.84 | 1706% above | 5% |
| Total knee replacement CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE | $28,010.72 | $29,484.97 | $14,208.20–$14,634.45 | 535% above | 5% |
| Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID | $15,205.70 | $16,006.00 | $6,690.41–$6,891.12 | 614% above | 5% |
| Trigger finger release surgery CPT 26055 INCISION OF TENDON COVERING OF FINGER | $6,910.30 | $7,274.00 | $1,779.52–$1,832.91 | 378% above | 5% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION OF TRIGGER POINTS; 1-2 MUSCLES | $593.75 | $625.00 | $339.70–$349.89 | 324% above | 5% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $621.30 | $654.00 | $339.70–$349.89 | 344% above | 5% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM | $3,981.45 | $4,191.00 | $2,123.59–$2,187.30 | 125% above | 5% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 BALLOON DILATION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE; LESS THAN 3.0 CM | $5,623.04 | $5,918.99 | $2,123.59–$2,187.30 | 218% above | 5% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 INJECTION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $2,662.47 | $2,802.60 | $1,003.74–$1,033.85 | 167% above | 5% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $6,237.66 | $6,565.96 | $2,123.59–$2,187.30 | 389% above | 5% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 INSERTION OF GUIDE WIRE WITH DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE | $5,623.04 | $5,918.99 | $1,003.74–$1,033.85 | 315% above | 5% |
| Upper endoscopy (EGD), diagnostic CPT 43235 DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $2,839.54 | $2,988.99 | $1,003.74–$1,033.85 | 168% above | 5% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CRUSHING OF STONE OF URETER USING AN ENDOSCOPE | $13,083.40 | $13,772.00 | $5,933.74–$6,111.75 | 931% above | 5% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE | $12,216.99 | $12,859.99 | $5,933.74–$6,111.75 | 70% above | 5% |
| Vein ablation, radiofrequency, first vein CPT 36475 DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM OR LEG USING RADIOFREQUENCY AND IMAGING GUIDANCE | $9,940.80 | $10,464.00 | $3,494.29–$3,599.12 | 182% above | 5% |
| Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN | $14,196.80 | $14,944.00 | $3,494.29–$3,599.12 | 303% above | 5% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14 | $420.00 | $442.10 | $222.04–$228.70 | 120% above | 5% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCTION OF SKIN GROWTH; 1-14 GROWTHS | $6,157.90 | $6,482.00 | $222.04–$228.70 | 3124% above | 5% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< | $835.05 | $879.00 | $449.88–$463.38 | 188% above | 5% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS | $9,940.80 | $10,464.00 | $449.88–$463.38 | 3332% above | 5% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS | $950.00 | $1,000.00 | $488.24–$502.89 | 29% above | 5% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT | $992.75 | $1,045.00 | $488.24–$502.89 | 35% above | 5% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT | $290.89 | $306.20 | — | — | 5% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION | $556.70 | $586.00 | — | — | 5% |
| Chemotherapy IV infusion, first hour CPT 96413 ADMINISTRATION OF CHEMOTHERAPY INTO VEIN; 1 HOUR OR LESS | $1,496.25 | $1,575.00 | $365.54–$376.51 | 173% above | 5% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR | $1,563.70 | $1,646.00 | $365.54–$376.51 | 185% above | 5% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE; FIRST 30-74 MINUTES | $3,201.50 | $3,370.00 | $914.14–$941.56 | 191% above | 5% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR | $3,345.90 | $3,522.00 | $914.14–$941.56 | 205% above | 5% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $358.44 | $377.30 | $65.29–$301.02 | 40% above | 5% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING | $433.20 | $456.00 | $65.29–$301.02 | 70% above | 5% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY | $299.25 | $315.00 | $93.32–$96.12 | 96% above | 5% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP | $312.74 | $329.20 | $93.32–$96.12 | 105% above | 5% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY | $503.50 | $530.00 | $169.92–$175.02 | 124% above | 5% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM | $526.30 | $554.00 | $169.92–$175.02 | 134% above | 5% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY | $874.00 | $920.00 | $302.09–$311.15 | 158% above | 5% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM | $913.90 | $962.00 | $302.09–$311.15 | 170% above | 5% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $1,520.00 | $1,600.00 | $461.78–$475.63 | 178% above | 5% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM | $1,588.40 | $1,672.00 | $461.78–$475.63 | 191% above | 5% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY | $2,227.75 | $2,345.00 | $659.05–$678.82 | 162% above | 5% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM | $2,328.45 | $2,451.00 | $659.05–$678.82 | 174% above | 5% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG) | $1,700.50 | $1,790.00 | $238.95–$246.12 | 55% above | 5% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST | $1,777.45 | $1,871.00 | $238.95–$246.12 | 62% above | 5% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES | $503.50 | $530.00 | $235.39–$242.45 | 32% above | 5% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT | $526.30 | $554.00 | $235.39–$242.45 | 38% above | 5% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS | $503.50 | $530.00 | $235.39–$365.71 | 31% above | 5% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT | $526.30 | $554.00 | $235.39–$365.71 | 37% above | 5% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE | $213.75 | $225.00 | $79.68–$82.07 | 114% above | 5% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $223.44 | $235.20 | $79.68–$82.07 | 124% above | 5% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES | $159.60 | $168.00 | $110.22–$113.53 | 46% below | 5% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 60-74 MINUTES | $204.25 | $215.00 | $150.43–$154.94 | 45% below | 5% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 THERAPY PROCEDURE FOR NUTRITION MANAGEMENT; EACH 15 MINUTES | $36.39 | $38.30 | $25.54–$26.31 | 28% below | 5% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN | $75.65 | $79.63 | $25.54–$26.31 | 50% above | 5% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 40-54 MINUTES | $928.06 | $976.90 | $119.29–$392.04 | 287% above | 5% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $619.31 | $651.90 | $54.73–$229.63 | 399% above | 5% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES | $693.50 | $730.00 | $80.39–$325.48 | 287% above | 5% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES | $522.50 | $550.00 | $29.38–$175.88 | 505% above | 5% |
| Spirometry (breathing test) CPT 94010 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME | $455.05 | $479.00 | $238.95–$246.12 | 63% above | 5% |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST | $475.57 | $500.60 | $238.95–$246.12 | 70% above | 5% |
| Spirometry before and after a bronchodilator CPT 94060 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME CHANGES BEFORE AND AFTER MEDICATION ADMINISTRATION | $988.00 | $1,040.00 | $412.97–$425.36 | 69% above | 5% |
| Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING | $1,032.65 | $1,087.00 | $412.97–$425.36 | 76% above | 5% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 DRAWING OF BLOOD FOR A MEDICAL PROBLEM | $351.50 | $370.00 | $147.23–$151.65 | 83% above | 5% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $367.37 | $386.70 | $147.23–$151.65 | 91% above | 5% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Fluad 2025-2026 Formula | $231.80 | $244.00 | — | 204% above | 5% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 IIV ADJUVANT VACCINE IM | $231.80 | $244.00 | — | 204% above | 5% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FluLaval 2025-2026 Formula | $121.86 | $128.27 | — | 314% above | 5% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM | $121.86 | $128.27 | — | 314% above | 5% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluarix 2025-2026 Formula | $121.86 | $128.27 | — | 314% above | 5% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 IIV NO PRSV INCREASED AG IM | $224.76 | $236.59 | — | 165% above | 5% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II | $280.58 | $295.35 | — | 143% above | 5% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE SC | $280.58 | $295.35 | — | 143% above | 5% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM | $1,068.08 | $1,124.29 | $319.75–$329.34 | 94% above | 5% |
| Rabies vaccine, one dose CPT 90675 RabAvert | $1,068.08 | $1,124.29 | $319.75–$329.34 | 94% above | 5% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix | $179.94 | $189.41 | — | 154% above | 5% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM | $179.94 | $189.41 | — | 154% above | 5% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF VACCINE | $123.50 | $130.00 | $22.00–$82.07 | 219% above | 5% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $129.11 | $135.90 | $22.00–$82.07 | 234% above | 5% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION OF VACCINE; EACH ADDITIONAL VACCINE | $61.75 | $65.00 | — | 86% above | 5% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD | $64.53 | $67.93 | — | 94% above | 5% |
Source file: https://apim.services.craneware.com/api-pricing-transparency/api/public/7a5b17a8f7a5fd3972038ec65aab46c7/charges/mrf